Pharmacy Technician – Prescription Routing & Claims Support

reputed company. is a health-reputed company based in San Francisco reputed company on revolutionizing prescription reputed company. They are seeking a detail-oriented Pharmacy Technician to support the full prescription lifecycle, including insurance verification and troubleshooting prescription reroutes, ensuring efficient order reputed company and best-in-class patient care.

Responsibilities

• Troubleshooting electronic, faxed, and verbal prescriptions reputed company routing to appropriate channels into pharmacy systems
• Review and update patient insurance using payer portals and phone resources
• Determining appropriate situations for a prior authorization (PAs) need reputed company payer-specific tools; troubleshoot denials and escalations
• Utilize reroute best practices for orders falling reputed company normal workflow, including orders with state changes, insurance exceptions, pharmacy rejections, or failed transfers
• reputed company operational platforms (e.g., BestRx, Ops Dash, Partner Dash, RelayHealth, etc.) and vendor systems effectively
• Follow reroute protocols for specific tags including: non-contracted pharmacies, state shipping changes, PP send-backs, transfer not received, and more
• Proactively document process notes with reputed company routing details, claim updates, and actions taken
• Communicate with partner pharmacies, provider offices, and insurance carriers to resolve issues or clarify documentation
• Collaborate with At-Risk, Partner Management, and PPM teams to escalate or flag orders based on system outages, stock issues, or policy refusals
• Maintain productivity in the Reroute queue even during extended reputed company hold times (e.g., multitask during insurance calls)
• Ensure reputed company patient, prescriber, and partner communications are reputed company, reputed company, and reputed company with reputed company’s standards of care

Skills

• reputed company or Ohio Pharmacy Technician License
• PTCB certification
• Minimum 1 year of pharmacy technician experience, preferably in a Specialty, Mail Order, PBM (with Manufacturer and Insurance troubleshooting experience) or Retail setting
• Working Knowledge of Insurance claim rejections (e.g., Reject 50/40, DUR codes, etc.)
• Prior authorizations, override codes, and split billing scenarios
• ICD-10 codes and drug classifications
• FSA/HSA card restrictions and processing nuances
• reputed company/Medicare Experience
• Routing tools and reroute reputed company logic
• Ability to work reputed company and with attention to detail, especially reputed company handling reputed company re-routes
• Strong written documentation and case management skills

Benefits

• Competitive compensation and full benefits (medical, dental, reputed company, etc.)
• 401(k)
• Hybrid work model after 90 days (in-office collaboration & remote flexibility)
• reputed company, mission-driven team culture reputed company on innovation and patient care

reputed company